Provider Demographics
NPI:1861424582
Name:MICHALETZ ONODY, PATRICE A (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:A
Last Name:MICHALETZ ONODY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PATRICE
Other - Middle Name:A
Other - Last Name:MICHALETZ-WINEMILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10403 W COLFAX AVE STE 630
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-3812
Mailing Address - Country:US
Mailing Address - Phone:303-205-1090
Mailing Address - Fax:303-205-1120
Practice Address - Street 1:9397 CROWN CREST BLVD STE 311
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8788
Practice Address - Country:US
Practice Address - Phone:303-766-4516
Practice Address - Fax:303-766-4945
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38466207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO029621OtherKAISER COMMERCIAL NUMBER
CO09872388Medicaid
CO100014460OtherRAILROAD MEDICARE
CO09872388Medicaid